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ST MARY'S REGIONAL HEALTH CENTER

Clinic/Center, Rural Health·PARK RAPIDS, MN·NPI: 1699955344Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.5M

$21,509,666

Total Claims

269K

Beneficiaries

222K

1.2 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+15%
2019
$4.5M
-18%
2020
$3.7M
-19%
2021
$3.0M
-29%
2022
$2.1M
+22%
2023
$2.6M
-30%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 45% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$9.6M

60K claims · 44.7%

Your Cost: $160.75/claim|Median: $37.81
4.3× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$7.5M

47K claims · 35.1%

Your Cost: $161.59/claim|Median: $53.41
3.0× median
X5622Top 25%

$1.1M

4,317 claims · 4.9%

Your Cost: $243.65/claim|Median: $52.61
4.6× median
90837Top 5%

Psychotherapy, 60 minutes

$819K

5,397 claims · 3.8%

Your Cost: $151.71/claim|Median: $85.66
1.8× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$615K

4,524 claims · 2.9%

Your Cost: $135.97/claim|Median: $75.18
1.8× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$334K

2,393 claims · 1.6%

Your Cost: $139.76/claim|Median: $57.85
2.4× median
99212Top 5%

Office/outpatient visit, low complexity

$262K

1,804 claims · 1.2%

Your Cost: $145.15/claim|Median: $25.06
5.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$241K

3,078 claims · 1.1%

Your Cost: $78.39/claim|Median: $69.35
1.1× median
99215Top 10%

Office/outpatient visit, high complexity

$190K

1,306 claims · 0.9%

Your Cost: $145.53/claim|Median: $74.09
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$183K

2,711 claims · 0.9%

Your Cost: $67.60/claim|Median: $74.82
0.9× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$92K

516 claims · 0.4%

Your Cost: $177.63/claim|Median: $22.44
7.9× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$78K

477 claims · 0.4%

Your Cost: $163.05/claim|Median: $40.11
4.1× median
99309Top 1%

Nursing facility care, subsequent, low complexity

$69K

298 claims · 0.3%

Your Cost: $231.18/claim|Median: $14.00
16.5× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$53K

280 claims · 0.2%

Your Cost: $190.56/claim|Median: $32.55
5.9× median
90834Top 5%

Psychotherapy, 45 minutes

$47K

282 claims · 0.2%

Your Cost: $166.39/claim|Median: $63.65
2.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$44K

920 claims · 0.2%

Your Cost: $48.06/claim|Median: $80.15
0.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$41K

243 claims · 0.2%

Your Cost: $166.97/claim|Median: $108.91
1.5× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$34K

187 claims · 0.2%

Your Cost: $181.15/claim|Median: $13.30
13.6× median
99243Top 5%

Office or other outpatient consultation, low complexity

$30K

202 claims · 0.1%

Your Cost: $147.28/claim|Median: $82.43
1.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$25K

159 claims · 0.1%

Your Cost: $154.35/claim|Median: $99.21
1.6× median
G2025Top 25%

$21K

440 claims · 0.1%

Your Cost: $47.73/claim|Median: $15.63
3.1× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$20K

152 claims · 0.1%

Your Cost: $132.99/claim|Median: $20.83
6.4× median
99310Top 1%

$16K

69 claims · 0.1%

Your Cost: $226.85/claim|Median: $21.82
10.4× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$16K

125 claims · 0.1%

Your Cost: $124.87/claim|Median: $84.03
1.5× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$13K

115 claims · 0.1%

Your Cost: $114.80/claim|Median: $76.06
1.5× median
99307Top 1%

$12K

92 claims · 0.1%

Your Cost: $132.89/claim|Median: $6.57
20.2× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$12K

88 claims · 0.1%

Your Cost: $135.63/claim|Median: $72.71
1.9× median
99308Top 1%

Nursing facility care, subsequent, straightforward

$11K

44 claims · 0.1%

Your Cost: $247.55/claim|Median: $9.79
25.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$5K

65 claims · 0.0%

Your Cost: $71.25/claim|Median: $121.58
0.6× median
99188Normal range

$3K

550 claims · 0.0%

Your Cost: $5.53/claim|Median: $12.80
0.4× median
96130Normal range

Psychological testing evaluation by professional, first hour

$2K

23 claims · 0.0%

Your Cost: $102.90/claim|Median: $79.21
1.3× median
99347Top 5%

$1K

12 claims · 0.0%

Your Cost: $95.87/claim|Median: $11.74
8.2× median
36415Normal range

Collection of venous blood by venipuncture

$1K

27K claims · 0.0%

Your Cost: $0.04/claim|Median: $1.57
0.0× median
80053Normal range

Comprehensive metabolic panel

$514

7,488 claims · 0.0%

Your Cost: $0.07/claim|Median: $7.24
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$364

4,622 claims · 0.0%

Your Cost: $0.08/claim|Median: $9.80
0.0× median
85027Normal range

Complete blood count (CBC), automated

$331

6,127 claims · 0.0%

Your Cost: $0.05/claim|Median: $3.72
0.0× median
91320Normal range

$262

21 claims · 0.0%

Your Cost: $12.49/claim|Median: $72.65
0.2× median
90670Normal range

$224

2,006 claims · 0.0%

Your Cost: $0.11/claim|Median: $5.94
0.0× median
Q3014Normal range

Telehealth originating site facility fee

$224

27 claims · 0.0%

Your Cost: $8.28/claim|Median: $15.37
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$183

3,869 claims · 0.0%

Your Cost: $0.05/claim|Median: $7.18
0.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$113

4,075 claims · 0.0%

Your Cost: $0.03/claim|Median: $4.71
0.0× median
80061Normal range

Lipid panel

$99

2,469 claims · 0.0%

Your Cost: $0.04/claim|Median: $8.41
0.0× median
90480Normal range

$81

23 claims · 0.0%

Your Cost: $3.54/claim|Median: $25.29
0.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$64

211 claims · 0.0%

Your Cost: $0.31/claim|Median: $35.43
0.0× median
87660Normal range

$62

388 claims · 0.0%

Your Cost: $0.16/claim|Median: $13.84
0.0× median
87510Normal range

$62

388 claims · 0.0%

Your Cost: $0.16/claim|Median: $13.48
0.0× median
87480Normal range

$62

388 claims · 0.0%

Your Cost: $0.16/claim|Median: $14.31
0.0× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$51

321 claims · 0.0%

Your Cost: $0.16/claim|Median: $34.62
0.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$38

476 claims · 0.0%

Your Cost: $0.08/claim|Median: $36.70
0.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$35

4,601 claims · 0.0%

Your Cost: $0.01/claim|Median: $28.46
0.0× median

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